Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsee B Jackson

Individual provider Clinical Social Worker · NPI 1104619659

Kelsee B Jackson is a Clinical Social Worker in Rio Grande, New Jersey. Qualified in 2022, 4 years ago. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2025

Practice location Address checks out

1127 NJ-47 Ste 9
Rio Grande, NJ 08242
Phone: (856) 839-5678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SL06898900 (NJ)

Record details

NPI number1104619659
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 14, 2025
Mailing addressPo Box 4, Buena, NJ 08310-0004

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Rio Grande